Individual
JACOB DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNC MEDICAL CENTER, 101 MANNING DRIVE, CHAPEL HILL, NC 27514
(984) 974-1000
Mailing address
510 WHEELING CIR, DURHAM, NC 27713-6285
(765) 309-1037
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2024-00630
NC
390200000X
Student in an Organized Health Care Education/Training Program
DAVI-6UVG6T
NC
Other
Enumeration date
05/05/2021
Last updated
04/18/2024
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